• 제목/요약/키워드: Prevention costs

검색결과 299건 처리시간 0.021초

Cost-Effectiveness of Intensive Vs. Standard Follow-Up Models for Patients with Breast Cancer in Shiraz, Iran

  • Hatam, Nahid;Ahmadloo, Niloofar;Vazirzadeh, Mina;Jafari, Abdossaleh;Askarian, Mehrdad
    • Asian Pacific Journal of Cancer Prevention
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    • 제17권12호
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    • pp.5309-5314
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    • 2016
  • Background: Breast cancer is the most common type of cancer amongst women throughout the world. Currently, there are various follow-up strategies implemented in Iran, which are usually dependent on clinic policies and agreement among the resident oncologists. Purpose: A cost-effectiveness analysis was performed to assess the cost-effectiveness of intensive follow-up versus standard models for early breast cancer patients in Iran. Materials and methods: This cross sectional study was performed with 382 patients each in the intensive and standard groups. Costs were identified and measured from a payer perspective, including direct medical outlay. To assess the effectiveness of the two follow-up models we used a decision tree along with indicators of detection of recurrence and metastasis, calculating expected costs and effectiveness for both cases; in addition, incremental cost-effectiveness ratios were determined. Results: The results of decision tree showed expected case detection rates of 0.137 and 0.018 and expected costs of US$24,494.62 and US$6,859.27, respectively, for the intensive and standard follow-up models. Tornado diagrams revealed the highest sensitivity to cost increases using the intensive follow-up model with an ICER=US$148,196.2. Conclusion: Overall, the results showed that the intensive follow-up method is not cost-effective when compared to the standard model.

Occupational Injuries Among Construction Workers by Age and Related Economic Loss: Findings From Ohio Workers' Compensation, USA: 2007-2017

  • Harpriya Kaur;Steven J. Wurzelbacher;P. Tim Bushnell;Stephen Bertke;Alysha R. Meyers;James W. Grosch;Steven J. Naber;Michael Lampl
    • Safety and Health at Work
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    • 제14권4호
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    • pp.406-414
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    • 2023
  • Background: This study examined age-group differences in the rate, severity, and cost of injuries among construction workers to support evidence-based worker safety and health interventions in the construction industry. Methods: Ohio workers' compensation claims for construction workers were used to estimate claim rates and costs by age group. We analyzed claims data auto-coded into five event/exposure categories: transportation incidents; slips, trips, and falls (STFs); exposure to harmful substances and environments; contact with objects and equipment (COB); overexertion and bodily reaction. American Community Survey data were used to determine the percentage of workers in each age group. Results: From 2007-2017, among 72,416 accepted injury claims for ~166,000 construction full-time equivalent (FTE) per year, nearly half were caused by COB, followed by STFs (20%) and overexertion (20%). Claim rates related to COB and exposure to harmful substances and environments were highest among those 18-24 years old, with claim rates of 313.5 and 25.9 per 10,000 FTE, respectively. STFs increased with age, with the highest claim rates for those 55-64 years old (94.2 claims per 10,000 FTE). Overexertion claim rates increased and then declined with age, with the highest claim rate for those 35-44 years old (87.3 per 10,000 FTE). While younger workers had higher injury rates, older workers had higher proportions of lost-time claims and higher costs per claim. The total cost per FTE was highest for those 45-54 years old ($1,122 per FTE). Conclusion: The variation in rates of injury types by age suggests that age-specific prevention strategies may be useful.

중소 제조기업의 품질비용 행태에 관한 실증 연구 (The Correlations among the Categorized Quality Cost Factors on SMEs (Small & Medium-sized Enterprises))

  • 이상춘;구일섭
    • 대한안전경영과학회:학술대회논문집
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    • 대한안전경영과학회 2011년도 춘계학술대회
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    • pp.731-746
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    • 2011
  • The successful and sustainable growth of SMEs depends on their ability of strengthen their competitiveness in quality and cost and service more than anything else as a fundamental of operation. Among these key competitive factors of SMEs, quality is the most critical factor in manufacturing business fields. Because quality strongly influence cost and service performance on this manufacturing business field. There are many different ways to improve the quality performance but it needs proper management decision to choose the best way what can maximize outputs with minimum inputs. And it needs effective measurement methods and some indicators to analysis the quality performance properly. The quality cost is one of the simplest key indicators to measure the quality performance and the effectiveness of quality related management decisions. The major purpose of this study is to diagnose the categorized current level of actual quality cost of local SMEs to maximize their quality management effectiveness through comparing their level with others what's expressed in early studies. In this study, through survey on local SMEs, we found that their average annual quality cost ratio versus turnover - Total amount of annual quality cost divided by annual turnover - is around 3.69% excluded some SME's performances what have different quality control measures with others. And we found some results what corresponded with the early studies on the correlations between those categorized quality costs factors and some discrepancies between some of the literature model and the early case study results as follows. There were negative correlations between the Prevention costs and the External failure costs, and the Appraisal costs and the External failure costs, and there was positive correlation between the Appraisal costs and Internal failure costs same as early studies. But, we couldn't found any strong negative correlations between the Cost of control - Preventive costs & Appraisal costs - and the Cost of Failure of control - Internal & External failure costs -. It reveals not only the lack of effectiveness on their preventive or appraisal activities but also it can reveal there were so many effective ways to prevent the failure costs properly such as some innovative investment on Factory automation includes Error Proofing and more preventive actions to improve the effectiveness of the typical management methods likes CE (Concurrent Engineering), APQP (Advanced Product Quality Planning), FMEA (Failure Mode & Effect Analysis) etc.

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Cancer Care Management through a Mobile Phone Health Approach: Key Considerations

  • Mohammadzadeh, Niloofar;Safdari, Reza;Rahimi, Azin
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권9호
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    • pp.4961-4964
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    • 2013
  • Greater use of mobile phone devices seems inevitable because the health industry and cancer care are facing challenges such as resource constraints, rising care costs, the need for immediate access to healthcare data of types such as audio video texts for early detection and treatment of patients and increasing remote aids in telemedicine. Physicians, in order to study the causes of cancer, detect cancer earlier, act in prevention measures, determine the effectiveness of treatment and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive and timely cancer data. Mobile devices provide opportunities and can play an important role in consulting, diagnosis, treatment, and quick access to health information. There easy carriage make them perfect tools for healthcare providers in cancer care management. Key factors in cancer care management systems through a mobile phone health approach must be considered such as human resources, confidentiality and privacy, legal and ethical issues, appropriate ICT and provider infrastructure and costs in general aspects and interoperability, human relationships, types of mobile devices and telecommunication related points in specific aspects. The successful implementation of mobile-based systems in cancer care management will constantly face many challenges. Hence, in applying mobile cancer care, involvement of users and considering their needs in all phases of project, providing adequate bandwidth, preparation of standard tools that provide maximum mobility and flexibility for users, decreasing obstacles to interrupt network communications, and using suitable communication protocols are essential. It is obvious that identifying and reducing barriers and strengthening the positive points will have a significant role in appropriate planning and promoting the achievements of mobile cancer care systems. The aim of this article is to explain key points which should be considered in designing appropriate mobile health systems in cancer care as an approach for improving cancer care management.

사고·손상·중독 유형별 사회·경제적 비용분석에 관한 연구 (A analytical research into social and economic costs for each type of accident, injury and intoxication)

  • 유인숙;최은미
    • 한국산업정보학회논문지
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    • 제20권3호
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    • pp.71-79
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    • 2015
  • 우리나라에서는 손상 질환에 대한 발생률 및 인구사회학적 특성에 관한 연구는 찾기 어려운 실정이어서 본 연구는 한국의료패널(2008)의 설문조사 자료와 사회 경제적비용을 추계하여 분석하였다. 특히, 사고 손상 중독 유형별 사회적 비용과 의료이용 형태에 따른 사회적 비용을 추계하였다. 향후, 손상 발생률 감소와 의료비 감소를 위한 연령, 교육, 경제소득. 사고 발생장소 등에 맞는 구체적인 예방프로그램을 개발하고 또한 지속적인 손상예방 교육이 필요하고, 우리나라 손상의 사회경제적비용을 줄이기 위한 건강보험의 효율적 운영과 개인의 참여와 사회적, 국가적 노력이 필요하다.

Inferring Single Nucleotide Polymorphisms in MicroRNA Binding Sites of Lung Cancer-related Inflammatory Genes

  • He, Fei;Zheng, Ling-Ling;Luo, Wen-Ting;Yang, Rong;Xu, Xiao-Qin;Cai, Lin
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권8호
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    • pp.3601-3606
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    • 2014
  • Single nucleotide polymorphisms located at microRNA (miRNA)-binding sites are likely to affect the expression of miRNA targets and may contribute to the susceptibility of humans to common diseases. Here 335 candidate lung cancer-related inflammatory genes were selected according to the existing literature and database. We identified putative miRNA-binding sites of 149 genes by specialised algorithms and screened SNPs in the 3'UTRs of these genes. By calculating binding free energy, we sorted 269 SNPs on the basis of the possibility of prediction. The proposed approach could help to easy the identification of functionally relevant SNPs and minimize the workflow and the costs.

지역 교통사고 원인조사를 통한 사고예방과 기회비용 연구 (A case study on road traffic accident prevention and opportunity costs by means of local accident investigation)

  • 정용기;최병호
    • 한국ITS학회 논문지
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    • 제9권2호
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    • pp.75-86
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    • 2010
  • 본 연구는 지역 교통사고 원인조사의 관리주체인 도로관리청에서 교통사고를 효율적이면서 효과적으로 관리하고 시행할 수 있는 교통사고 원인조사 기법 및 절차를 제시하였다. 또한, 시범도시를 선정하여 최근 3년간 교통사고 중 사망사고 자료를 바탕으로 사고형태지도, 구조분석표 및 사고도표의 작성, 사고누적지점 및 구간의 선정과 우선순위, 현장조사 및 개선시책의 결정, 기회비용의 추정, 모니터링 방안 등 향후 도로관리청의 교통사고 원인조사의 기술적, 조직적 및 행정적 프로세스를 적용하여 예상되는 사고감소효과에 대해 분석하였다.

기술가치평가를 위한 시장대체원가 접근법 (A Market-Based Replacement Cost Approach to Technology Valuation)

  • 강필성;금영정;박현우;김상국;성태응;이학연
    • 대한산업공학회지
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    • 제41권2호
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    • pp.150-161
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    • 2015
  • This paper proposes a new approach to technology valuation, the market-replacement cost approach which integrates the cost-based approach and market-based approach. The proposed approach estimates the market-replacement cost of a target technology using R&D costs of similar R&D projects previously conducted. Similar R&D projects are extracted from project database based on document similarity between project proposals and technology description of the target technology. R&D costs of similar R&D projects are adjusted by mirroring the rate of technological obsolescence and inflation. Market-replacement cost of the technology is then derived by calculating the weighted average of adjusted costs and similarity values of similar R&D projects. A case of "Prevention method and system for the diffusion of mobile malicious code" is presented to illustrate the proposed approach.

비용편익 분석에 기초한 공동구의 경제적 타당성 평가 (Economic Feasibility of Common Utility Tunnel based on Cost-Benefit Analysis)

  • 강영구;최익창
    • 한국안전학회지
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    • 제30권5호
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    • pp.29-36
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    • 2015
  • Common utility tunnel is essential to the daily lives of people underground utilities (electricity, gas and supply facilities such as water, communication facilities, sewer facilities, etc.) to improve the appearance by co-acceptance and disaster prevention, important for the conservation of the city's population was concentrated road construction the city-based facilities. There is recognition of the importance of the various supply treatment facilities in common utility tunnel as infrastructure to accommodate joint according to the city expanded, the demand for infrastructure. In this paper, a cost-benefit analysis using a one-time occurrence, without simply relying on cost or current cost, project manager for the city-dimensional feasibility study conducted, the user level of the maintenance costs and user costs, including social costs items from various angles can be investigated and proposed a mechanism of economic feasibility common utility tunnel. Evaluation of the proposed technique is cost-benefit and cost caused by installing common utility tunnel the existing pipeline area - was investigated by the benefit analysis, extended and repeated common utility tunnel installation depends much affected by the excavation, so users of reducing the number of repeat excavation convenience can be seen that this occurs.

신도시 U-City 서비스 표준화 방법론에 관한 연구 (A Study on the Methodology of U-City Services Standardization)

  • 이상훈;양동석
    • 디지털산업정보학회논문지
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    • 제8권4호
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    • pp.53-62
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    • 2012
  • U-City means the high-tech city that applied ubiquitous technology and information communication technology. U-City aims to intensify urban competitiveness and to improve the quality of residents' life through efficient management of the urban. Currently, 77 U-City projects is underway. The each project cost and scale estimate is not clear in the absence of the U-Service Standardization Model. So, many of the project are trouble about making a production the proper number of U-Service or the cost of project. The excessive service construction is reflected on the construction costs, which leads to the rise of sales price and passes onto the executor of a project as a burden of the project costs, and the problem of the delay of the change-over occurs due to supporting the operation costs for the operation of the constructed service and the demand for additional installation of facilities between a local autonomous entity and the executor of a project. In this paper, we suggested the U-Services Construction Standardization Methods and proposed the standardization services guideline of crime prevention services. U-City services in the future are able to maintain the consistency of the system through the utilization of the proposed standard model. As a result, the U-City project's pre-estimated cost and scale can be extracted.